Healthcare Provider Details

I. General information

NPI: 1568379964
Provider Name (Legal Business Name): LEE GEORGE ATKINSON JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1398 W MAYFIELD RD STE 220
ARLINGTON TX
76015-2356
US

IV. Provider business mailing address

1398 W MAYFIELD RD STE 220
ARLINGTON TX
76015-2356
US

V. Phone/Fax

Practice location:
  • Phone: 682-777-4325
  • Fax:
Mailing address:
  • Phone: 682-777-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number103480
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: